Assessing coronary heart disease in women

Coronary heart disease (CHD) is a leading cause of mortality in women worldwide. However CHD is still considered to be a male disease and it is likely to be under-diagnosed in women since symptoms are different in women and diagnostic tests may be less specific or sensitive. This review examines the symptoms and risk factors for CHD in women. The role of invasive and non-invasive tests together with their prognostic implications as well as indications for coronary revascularization will be discussed. New research should focus on the role of gender differences in CHD and trials specifically designed to study women.